Vena cava stenting and portorenal shunt in Budd-Chiari syndrome: Combination of the 'modern' and the 'classical'


Emre A., Ozden I. , POYANLI A. , Bilge O.

DIGESTIVE SURGERY, vol.18, no.3, pp.223-225, 2001 (Journal Indexed in SCI) identifier

  • Publication Type: Article / Article
  • Volume: 18 Issue: 3
  • Publication Date: 2001
  • Doi Number: 10.1159/000050136
  • Title of Journal : DIGESTIVE SURGERY
  • Page Numbers: pp.223-225
  • Keywords: Budd-Chiari syndrome, antiphospholipid syndrome, vascular stent, portorenal shunt, MANAGEMENT

Abstract

We have treated a 33-year-old Budd-Chiari patient (due to antiphospholipid syndrome) with a history of myocardial infarction by placing a vascular stent in the inferior vena cava and performing a portorenal shunt with three objectives: (1) to perform a shunt operation on a Budd-Chiari patient with good hepatic functional reserve, (2) to avoid a thoracotomy and manipulation of the heart in a patient with a cardiac thrombus and a history of myocardial infarction and (3) to avoid a synthetic graft in a patient with antiphospholipid syndrome. Vena cava stenting and portorenal shunt make a useful combination which should be included in the armamentarium of the hepatobiliary surgeon. Copyright (C) 2001 S. Karger AG, Basel.